Provider Demographics
NPI:1356429922
Name:THET, ZEYAR (MD)
Entity type:Individual
Prefix:DR
First Name:ZEYAR
Middle Name:
Last Name:THET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 DAHLGREN PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3503
Mailing Address - Country:US
Mailing Address - Phone:347-922-0503
Mailing Address - Fax:
Practice Address - Street 1:13621 ROOSEVELT AVE #1FL
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5655
Practice Address - Country:US
Practice Address - Phone:347-922-0503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242135174400000X, 208M00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No174400000XOther Service ProvidersSpecialist
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02832382Medicaid
NY02832382Medicaid
NY302SZ1Medicare PIN